Howard County Department of Citizen Services
Office of Consumer Affairs
Consumer Complaint Form (Downloadable PDF)
Complaint Number (to be assigned by staff)_______________
Daytime Telephone Number
Date of Contract or Service
Date You Complained to the Business
Description of Complaint
List Documents You Have That Relate to your Complaint
Please send copies (not originals) of these documents to the Office of Consumer Affairs: by mail (5761 Columbia Gateway Drive, Columbia MD, 21046), fax (410-313-6453) or e-mail firstname.lastname@example.org).
What Resolution Are You Seeking?
How did you hear about the Office of Consumer Affairs?
Under State and County laws, the information you provided in this complaint form
becomes public information when the case is closed and placed in our inactive files.
Signature (enter your initials here)